Acquired Tufted Angioma: A Clinicopathological Entity
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Acquired angiomas, vascular tumors perse has thus far been sporadically reported because of its asymptomatic nature despite explicit clinicopathological features. The current report is an attempt to focus attention on these aspects, enriching through clinical as well as histological illustrations. A 30-year-old woman presented with reddish, nodular lesions scattered around the left eye, for the past 5 years. The initial lesion appeared over the medial canthus, which was excised 3 years ago but there was a recurrence at the same site, and also at upper lateral border of left eyebrow, accompanied by mild tenderness. There was neither a history of trauma, bleeding nor any systemic complains. Hematoxylin and Eoisin (H&E) stained skin section(s) depicted moderate hyperkeratosis, acanthosis and elongation of rete ridges in addition to numerous dilated, simulating cannon ball thin and thick walled capillaries within the dermis. The lining of the capillaries was of plump or elongated endothelial cells. Some of the capillaries had thickened walls and were engorged with red blood cell (RBCs). The dermis surrounding these clusters showed fibroplasia. Mild to moderate hyperplasia of the epidermis was a concomitant feature.
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